MS. RENEE RAFFALOVICH PYBURN PMHNP NPI 1932611225

NPI Information

NPI: 1932611225
Provider Name: MS. RENEE RAFFALOVICH PYBURN, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
202 N 8TH ST
EL CENTRO, CA
ZIP 92243
Phone: (512) 809-2286
Get Directions

MS. Renee Raffalovich Pyburn, PMHNP is a psychiatric/mental health nurse practitioner in El Centro, CA. MS. Renee Raffalovich Pyburn, PMHNP NPI is 1932611225. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

202 N 8TH ST
EL CENTRO, CA
ZIP 92243-302
Phone: (512) 809-2286

The NPI 1932611225 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/26/2017 and was last updated on 1/31/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	F402345	NEW YORK	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP60923286	WASHINGTON	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP136440	TEXAS	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95010655	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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